Kristine Michele Zelmer, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902012925 Issued in MI

Practice address

58620 Sink Rd
Dowagiac, MI 49047-9329

Phone

(269) 783-2495

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pokagon Band of Potawatomi Indians

  dba Pokagon Health Service

  • Federally Qualified Health Center (FQHC)
  • Dowagiac, MI
  • NPI 1497833271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1306405584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68680 CHRISTIANA LAKE RD",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491128727",
            "telephone_number": "269-697-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58620 SINK RD",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479329",
            "telephone_number": "269-783-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELMER",
        "first_name": "KRISTINE",
        "middle_name": "MICHELE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902012925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristine.zelmer@pokagonband-nsn.gov",
            "affiliation": "N",
            "address_1": "58620 Sink Rd",
            "city": "Dowagiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490479329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Wayne Young, M.D., M.S.
• Stacy Marie Young
• Adeel Yousaf, M.D
• Cynthia Zachary, RDH
• Mohammad S Zaman, MD

• Dental Hygienist in Dowagiac, MI
• Providers in Dowagiac, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.